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General NPI Number Information
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NPI Number | 1639927643
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Entity Type | Individual
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Provider Name | CRYSTAL MARIE SATTERWHITE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/07/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 155 N 3RD ST
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City | MACCLENNY
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State | FL
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Zip | 32063-2103
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Country | US
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Telephone | 904-653-4700
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Fax | 904-653-4710
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Provider Business Mailing Address
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Address Line | 5840 DEERCREEK LN
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City | MACCLENNY
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State | FL
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Zip | 32063-8820
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Country | US
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Telephone | 904-509-4276
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11032677
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License Number State | FL
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